Active NPI
Jenna Marie Patti
- Pharmacist
- Middle Village, NY
National Provider Identifier
1891374146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 067749
- Practice address
- 6134 76TH St
Middle Village, NY 11379-1330 - Phone
- (347) 907-1396
- NPI assigned
- Apr 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 067749 | NY | Primary |
Addresses
Primary practice location
6134 76TH St
Middle Village, NY 11379-1330
Mailing address
6134 76TH St
Middle Village, NY 11379-1330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 067749 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1891374146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6134 76TH ST",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6134 76TH ST",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113791330",
"telephone_number": "347-907-1396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTI",
"first_name": "JENNA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "067749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middle Village, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.